The Henry Ford of ophthalmology High-volume operations can be found in some surprising places – even surgery. Not all surgery conforms to our preconceptions of the individual 'super-craftsperson', aided by his or her back-up team, performing the whole operation from first incision to final stitch. Many surgical procedures are, in fact, fairly routine. There can be few examples, however, of surgery being made quite as routine as in the Russian clinics of eye surgeon, Svyatoslav Fyodorov. He has been called the 'Henry Ford of ophthalmology', and his methods are indeed closer to the automobile assembly plant than the conventional operating theatre. The surgical procedure in which he specializes is a revolutionary treatment for myopia (short-sightedness) called radial keratotomy. In the treatment the curvature of the cornea is corrected surgically – still a controversial procedure among some in the profession, but very successful for Fyodorov. From his Moscow headquarters he controls nine clinics throughout Russia. The source of his fame is not the treatment as such – other eye surgeons around the world perform similar procedures - but the way he organizes the business of the surgery itself. Eight patients lie on moving tables arranged like the spokes of a wheel around its central axis, with only their eyes uncovered. Six surgeons, each with his or her 'station', are positioned around the rim of the wheel so that they can access the patients' eyes. After the surgeons have completed their own particular portion of the whole procedure, the wheel indexes round to take patients to the next stage of their treatment. The surgeons check to make sure that the previous stage of the operation was performed correctly and then go on to perform their own task. Each surgeon's activity is monitored on TV screens overhead and the surgeons talk to each other through miniature microphones and headsets. The result of this mass production approach to surgery according to Fyodorov is not only far cheaper unit costs (he and his staff are paid for each patient treated, so they are all exceptionally wealthy as a result) but also a better success rate than that obtained in conventional surgery. Questions: 1. Compare Fyodorov method with conventional method of eye surgery with respect to volume and variety.
The Henry Ford of ophthalmology High-volume operations can be found in some surprising places – even surgery. Not all surgery conforms to our preconceptions of the individual 'super-craftsperson', aided by his or her back-up team, performing the whole operation from first incision to final stitch. Many surgical procedures are, in fact, fairly routine. There can be few examples, however, of surgery being made quite as routine as in the Russian clinics of eye surgeon, Svyatoslav Fyodorov. He has been called the 'Henry Ford of ophthalmology', and his methods are indeed closer to the automobile assembly plant than the conventional operating theatre. The surgical procedure in which he specializes is a revolutionary treatment for myopia (short-sightedness) called radial keratotomy. In the treatment the curvature of the cornea is corrected surgically – still a controversial procedure among some in the profession, but very successful for Fyodorov. From his Moscow headquarters he controls nine clinics throughout Russia. The source of his fame is not the treatment as such – other eye surgeons around the world perform similar procedures - but the way he organizes the business of the surgery itself. Eight patients lie on moving tables arranged like the spokes of a wheel around its central axis, with only their eyes uncovered. Six surgeons, each with his or her 'station', are positioned around the rim of the wheel so that they can access the patients' eyes. After the surgeons have completed their own particular portion of the whole procedure, the wheel indexes round to take patients to the next stage of their treatment. The surgeons check to make sure that the previous stage of the operation was performed correctly and then go on to perform their own task. Each surgeon's activity is monitored on TV screens overhead and the surgeons talk to each other through miniature microphones and headsets. The result of this mass production approach to surgery according to Fyodorov is not only far cheaper unit costs (he and his staff are paid for each patient treated, so they are all exceptionally wealthy as a result) but also a better success rate than that obtained in conventional surgery. Questions: 1. Compare Fyodorov method with conventional method of eye surgery with respect to volume and variety.
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:The Henry Ford of ophthalmology
High-volume operations can be found in some surprising places – even surgery. Not all surgery
conforms to our preconceptions of the individual 'super-craftsperson', aided by his or her back-up
team, performing the whole operation from first incision to final stitch. Many surgical procedures are,
in fact, fairly routine. There can be few examples, however, of surgery being made quite as routine as
in the Russian clinics of eye surgeon, Svyatoslav Fyodorov.
He has been called the 'Henry Ford of ophthalmology', and his methods are indeed closer to the
automobile assembly plant than the conventional operating theatre. The surgical procedure in which
he specializes is a revolutionary treatment for myopia (short-sightedness) called radial keratotomy. In
the treatment the curvature of the cornea is corrected surgically – still a controversial procedure among
some in the profession, but very successful for Fyodorov. From his Moscow headquarters he controls
nine clinics throughout Russia.
The source of his fame is not the treatment as such – other eye surgeons around the world perform
similar procedures – but the way he organizes the business of the surgery itself. Eight patients lie on
moving tables arranged like the spokes of a wheel around its central axis, with only their eyes
uncovered. Six surgeons, each with his or her 'station', are positioned around the rim of the wheel so
that they can access the patients' eyes. After the surgeons have completed their own particular portion
of the whole procedure, the wheel indexes round to take patients to the next stage of their treatment.
The surgeons check to make sure that the previous stage of the operation was performed correctly and
then go on to perform their own task. Each surgeon's activity is monitored on TV screens overhead
and the surgeons talk to each other through miniature microphones and headsets.
The result of this mass production approach to surgery according to Fyodorov is not only far cheaper
unit costs (he and his staff are paid for each patient treated, so they are all exceptionally wealthy as a
result) but also a better success rate than that obtained in conventional surgery.
Questions:
1. Compare Fyodorov method with conventional method of eye surgery with respect to volume
and variety.
2. Compare the two methods (Fyodorov and conventional methods) with respect to the cost
(fixed and variable costs).
3. Briefly explain the advantages of the Fyodorov approach to eye surgery.
4. Briefly explain the disadvantages of the Fyodorov approach to eye surgery.
5. Briefly discuss the effect of quality control on mass production approach like surgery in this
case study.
6. Develop the service blueprint for Henry Ford Ophthalmology by using the following
services;
a. Preliminary examination
b. Registration
c. Preparation room
d. Waiting room
e. Initial Greetings
f. Perform surgery
g. Recovery
h. Clear bills
i. Patient Discharge
7. Briefly discuss the process strategy objectives in the context of this case study.
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